Torulopsis glabrata fungemia as a complication of a clotted transjugular intrahepatic portosystemic shunt.
Torulopsis glabrata fungemia developed in a patient with a clotted transjugular intrahepatic portosystemic shunt (TIPS) 11 months after placement. Fungemia persisted despite treatment with amphotericin B. On autopsy, T. glabrata was found in the thrombus occluding the TIPS and extending into the splenic and portal vein. TIPS infections may be considered in patients with fungemia.
Darwin
P
P
Department of Pathology, University of Maryland Medical Center, Baltimore 21201, USA.
Mergner
W
W
Thuluvath
P
P
D002177:Candidiasis / Q000150:complications*; D017809:Fatal Outcome; D016469:Fungemia / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects*; D013927:Thrombosis / Q000150:complications / Q000382:microbiology*